ABD - KISS l Flashcards
What WBC is the MC in circulation?
lymphocyte
L gastric A supplies?
lesser curvature of ST and lower esophagus
RLE of urea cycle
carbamoyl phosphate synthetase
urethral fold becomes —>
labia minor, spongy urethra
L umbilical V becomes —>
round ligament of LR
bilirubin transported in blood by
albumin
sympathetic innervation of ST verebrae
T5-T11
median umbilical ligament is a remnant of?
allantois
Some Food Make Tummy Feel Pain
-mnemonic for what?
Skin, Fascia, Muscle, Transversalis fascia, Fat, Peritoneum
Inf Epigastric A is from what A?
External Iliac A.
and anastomosis w superior epigastric A
venous congestion of the _______ causes caput medusa?
paraumbilical V
Inguinal Ligaments at the free lower edge of _________
external oblique
superficial inguinal ring vs deep inguinal ring located where?
superficial is located in external oblique
deep is in transversalis fascia
What is in the inguinal canal in MALES?
PVTi Pampiniform plexus Vas deferens Testicular A Ilioinguinal N
What is in the inguinal canal in FEMALES?
ROUND LIGAMENT
ilioinguinal N.
Cryptorchidism
- what is it?
- puts pt at risk for?
- palpate?
undescended testis - congenital
- increase risk for seminomas
- palpable mass in inguinal canal
Direct vs Indirect Hernias
- which is inside the inguinal canal?
- where in respect to the Inferior Epigastric A.
Indirect - think “in” inguinal canal, LATERAL to inf. epigastric A.
Direct - through hasselbach’s triangle (inf. epigastric vessels, lateral border of rectus abd. muscle, inguinal lig.) MEDIAL to inf. epigastric A.
Femoral Hernia MC in M or F?
- feel it where?
- eti?
F
dt intra-abdominal P
can cause bowel incarceration
palp lump below inguinal ligament
Ischial Spine think what N.?
Pudendal N.
branches of Aorta for the gut?
CSI
- celiac (foregut)
- superior mesenteric A (midgut)
- inferior mesenteric A (hingut)
then, renal A. , gonadal A.
Branches of the Celiac Trunk?
L Gastric
Splenic
Common Hepatic
Splenic A (of the celiac trunk) supplies?
SP, fundus of ST, body of pancreas, greater curvature of ST
Common Hepatic A. branches into?
Gastroduodenal A
Proper Hepatic A
Gastroduodenal A. branches into?
R Gastroepiploic A - supplies the pyloris
Superior Duodenal A - head of pancreas
What two A supply the head of the pancreas?
Superior Duodenal A. and Inferior Pancreatoduodenal A.
What A ascends into the hepatoduodenal ligament? what does it supply?
Proper Hepatic A
- supplies LR
- supplies GB through Cystic A.
What A supplies the GB?
Cystic A.
Superior Mesenteric A., a branch of the aorta, is located at level of what vertebrae?
branches are?
L1
- Inf. Pancreatoduodenal A. (head of pancreas)
- Middle Colic A. (transverse colon)
- R Colic A (ascending colon)
- Ileoceccal A. (appendix)
What A supplies the transverse and ascending colons?
transverse: Middle Colic A.
ascending: R Colic A.
What A. supplies the appendix?
Ileoceccal A.
L1
L2
L3
landmarks for what Arteries?
L1 Superior Mesenteric
L2 Renal A
L3 Inferior Mesenteric
branches of the Inferior Mesenteric A
- L Colic A
- Sigmoid A
- Superior Rectal A
Common Iliac A. -> Ext. Iliac A. -> ?
Femoral A. (posterior to inguinal ligament)
Branches of the Internal Iliac A.
- Middle Rectal A.
- Pudendal A.
- Uterine A.
- Superior and Inf. Gluteal A.
IVC collects blood from?
pelvic organs, gonads, KD
What is it called when the L Renal V is entrapped between Superior Mesenteric A. and Abd Aorta? SSx?
Nutcracker Sign
SSx: hematuria, abd pain, L varicocele
What are the RETROPERITONEAL ORGANS?
SAD PUCKER - pain will radiate to the back if problems in these organs Suprarenal (adrenal) glands Aorta/IVC Duodenum (2nd + 3rd segments) Pancreas (except tail) Ureters Colon (ascending and descending parts) Kidneys Esophagus Rectum
Brunner’s Glands secrete?
located?
bicarb
- duodenum
What part of the SI has the highest # of goblet cells?
Jejunum
Where are Peyer’s Patches?
Ileum
**also, MC place for GI LYMPHOMA
